Genital Exams Flashcards

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1
Q

Inspection

A

View the sacrococcygeal and perianal areas for ulcers, inflammation, hemorrhoids, herpes, chancre, bleeding, etc

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2
Q

Palpation

A

Gloves, lubrication, bear down, insert finger, rotate finger, palpate

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3
Q

Which prostate disorders have general enlargement?

A

acute prostatitis

chronic prostatitis

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4
Q

What prostate disorder has enlarged lateral lobes?

A

benign hypertrophy

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5
Q

What lobe in prostate has cancer?

A

posterior lobe

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6
Q

Prostate disorder that has soft or hard / warm

A

acute prostatitis

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7
Q

Prostate disorder that has normal DRE

A

chronic prostatitis

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8
Q

Prostate disorder that is boggy (symmetrical)

A

benign hypertrophy

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9
Q

Prostate disorder that is hard / nodular

A

prostate cancer

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10
Q

Which prostate disorders are non-tender?

A

Chronic prostatitis
Benign Hypertrophy
Cancer

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11
Q

Which prostate disorders are tender?

A

Acute Prostatitis

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12
Q

Prostate disorder that causes fever

A

Acute Prostatitis

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13
Q

Prostate disorder that causes bloody semen

A

Chronic Prostatitis

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14
Q

Prostate disorder that causes median sulcus gone

A

Benign Hypertrophy

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15
Q

Prostate disorder that causes walnut nodule

A

Prostate cancer

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16
Q

Which prostate disorders can you have co-care and adjust?

A

Acute, Chronic, Benign Hypertrophy, Cancer

17
Q

Which prostate disorders can you treat with zinc?

A

Acute Prostatitis

18
Q

Which prostate disorders can you treat with nutrition?

A

Chronic prostatitis
Benign Hypertrophy
Cancer

19
Q

Which prostate disorders can you treat with exercise?

A

Chronic Prostatitis

20
Q

Which prostate disorders are associated with nocturia?

A

Benign Hypertrophy

21
Q

Breast Exam Inspection Position

A

Arms at sides, arms over head, hands pressed to sides, lean forward

22
Q

Breast Exam Inspection

A

Size, symmetry, contour, dimpling, edema, streaks, venous pattern
Nipples: size and shape, direction pointing, rashes or ulcerations, discharge

23
Q

Breast Exam Palpation

A

Patient supine, use pads of three fingers in rotary motion to press against chest wall. Check for:
Consistency: young more elastic, pregnant more lobular, aged more granular and stringy
Induration
Tenderness
Nodules
Palpate each nipple
Palpaten lymphatics including axillary, supraclavicular, infraclavicular

24
Q

Benign nodules, < 30 yo (>2 cm = surgery)

A

fibroadenoma

25
Q

Regresses after menses, multiple mobile (tx: adjust, nutrition)

A

Fibrocystic disease

26
Q

Tender, enlarged, red streaks (tx: ER referral)

A

Mastitis

27
Q

Nipple retraction, unilateral dimpling, bleeding, orange peel appearance

A

Breast cancer

28
Q

M/c area for breast metastasis

A

toward the axillar by way of the duct and lymphatic channels (infiltrating duct)

29
Q

Untreat gonorrhea (gram n.), Chlamydia, E. coli

A

PID

30
Q

Causes HCG increase

A

Twins
Tumors
(tx: adjust, nutrition, folate iron)

31
Q

Causes normal HCG

A

Pregnancy

32
Q

Causes HCG decrease

A

Ectopic pregnancy

33
Q

Dysmenorrhea, infertility

A

Endometriosis

(tx: adjust, pregnancy) CBC for potential anemia